Individual provider Active NPI

Elizabeth Song Crose, MSW

  • Social Worker
  • Medford, NJ
National Provider Identifier
1609014869
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06513100 Issued in NJ
Practice address
32 S Main St Ste D
Medford, NJ 08055-2455
Phone
(856) 617-4544
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Social Worker 104100000X 44SL06513100 NJ Primary

Addresses

Primary practice location

32 S Main St Ste D
Medford, NJ 08055-2455

Mailing address

207 White Horse Pike
Haddon Heights, NJ 08035-1703
Phone (856) 617-4544

Other practice location 1

2581 Atlantic Ave
Brooklyn, NY 11207-2412
Phone (212) 385-3030 ext. 3350

Other names 1

  • Elizabeth Song Stiles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06513100NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Counseling Services Clinical CurrentSince Mar 21, 2021 Accepting new patients

Locations

207 White Horse Pike
Haddon Heights, NJ 08035
Phone (856) 617-4544

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1609014869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351703",
            "telephone_number": "856-617-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST STE D",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552455",
            "telephone_number": "856-617-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2581 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072412",
            "country_code": "US",
            "telephone_number": "212-385-3030 x3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSE",
        "first_name": "ELIZABETH",
        "middle_name": "SONG",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06513100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STILES",
            "middle_name": "SONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.